Management of Hemorrhage in Life-threatening Pelvic Fracture

被引：58

作者：

Hak, David J. ^{[1
]}

Smith, Wade R. ^{[1
]}

Suzuki, Takashi ^{[2
]}

机构：

[1] Denver Hlth Univ Colorado, Dept Orthopaed Surg, Denver, CO 80204 USA

[2] Kitasato Univ, Sch Med, Kanagawa, Japan

来源：

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS | 2009年 / 17卷 / 07期

关键词：

RING DISRUPTIONS; ANGIOGRAPHIC EMBOLIZATION; EMERGENT MANAGEMENT; EXTERNAL FIXATION; UNSTABLE PATIENTS; C-CLAMP; TRAUMA; CLASSIFICATION; MORTALITY; INJURIES;

D O I：

10.5435/00124635-200907000-00005

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Emergent life-saving treatment is required for high-energy pelvic fracture with associated hemorrhage and hemodynamic instability. Advances in prehospital, interventional, surgical, and critical care have led to increased survival rates. Pelvic binders have largely replaced military antishock trousers. The availability and precision of interventional angiography have expanded considerably. External pelvic fixation can be rapidly applied, often reduces the pelvic volume, and provides temporary fracture stabilization. Pelvic packing, popularized in Europe, is now used in certain centers in North America. The use of standardized treatment algorithms may improve decision making and patient survival rates. Active involvement of an experienced orthopaedic surgeon in the evaluation and care of these critically injured patients is essential.

引用

页码：447 / 457

页数：11

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